​For the second time in as many months, a prominent medical journal has endorsed spinal manipulation for the management of low back pain. (1) On April 11th 2017, JAMA published a systematic review of 26 randomized clinical trials to evaluate the safety and effectiveness of spinal manipulation for low back pain. The authors concluded:

“Among patients with acute low back pain, spinal manipulative therapy was associated with improvements in pain and function with only transient minor musculoskeletal harms.”

This study comes on the heels of a February 2017 Clinical Practice Guideline from the American College of Physicians recommending spinal manipulation for acute, sub-acute, and chronic LBP. (2)